Rita Mangione-Smith, MD, MPH

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“Doing research in integrated health systems like ours gives us a 360-degree view of care, allowing us to comprehensively assess quality and work toward better health outcomes.” 

Rita Mangione-Smith, MD, MPH

Vice President for Research and Health Care Innovation at Kaiser Permanente Washington
Executive Director and Senior Investigator, Kaiser Permanente Washington Health Research Institute
Professor of Health Systems Science at Kaiser Permanente School of Medicine

 

Biography

Rita Mangione-Smith, MD, MPH, was appointed vice president for research and health care innovation at Kaiser Permanente Washington and executive director of Kaiser Permanente Washington Health Research Institute (KPWHRI) in August 2019. She is also a senior investigator at the institute, pursuing research on improving care for children and others throughout the life course.

A pediatrician, Dr. Mangione-Smith’s research to date has focused primarily on assessing quality of care and then developing, evaluating, and implementing quality improvement interventions in areas such as transitions between sites of care and hospital-based care for respiratory illness and mental health.

She has also conducted extensive research on doctor-parent communication, studying how interactions influence the decision to prescribe antibiotics for acute respiratory illness in pediatric outpatient settings. Based on this work, she has developed a multifaceted quality improvement intervention for outpatient providers called Dialogue Around Respiratory Illness treatment (DART).

Dr. Mangione-Smith has a passion for developing learning health systems where scientists and clinicians collaborate on research programs that can drive the improvement of health care delivery, quality, and cost.

Before her work at Kaiser Permanente Washington, Dr. Mangione-Smith served as an investigator in the Center for Child Health, Behavior, and Development at Seattle Children’s Research Institute and chief of the Division of General Pediatrics and Hospital Medicine in the University of Washington (UW) Department of Pediatrics. She was also director of the Quality Improvement Scholars Program at the UW Department of Pediatrics and Seattle Children’s Hospital.

An accomplished organizational leader, Dr. Mangione-Smith is recognized for her work as an active teacher and mentor. At the UW, she established a division-wide mentorship program for junior faculty that has been highly successful. She also developed several collaborative working groups across the UW Division of General Pediatrics and Hospital Medicine focused on enhancing the quality and safety of care across six outpatient and six inpatient clinical sites.

In 2018, AcademyHealth, the nation’s premiere health services association, honored Dr. Mangione-Smith with its “Child Health Interest Group Life Time Achievement Award,” recognizing her significant and lasting contributions to child health services research. She also received the 2017 Academic Pediatric Association Research Award, the organization’s highest award for research excellence and achievement.

Dr. Mangione-Smith is an affiliate professor in the Department of Health Services at the UW School of Public Health.

She is also a professor in the Department of Health System Science at Kaiser Permanente Bernard J. Tyson School of Medicine.

RESEARCH INTERESTS AND EXPERIENCE

Publications

Lion KC, Gritton J, Scannell J, Brown JC, Ebel BE, Klein EJ, Mangione-Smith R. Patterns and predictors of professional interpreter use in the pediatric emergency department. Pediatrics. 2021 Feb;147(2):e20193312. doi: 10.1542/peds.2019-3312. PubMed

Bryan MA, Tyler A, Zhou C, Williams DJ, Johnson DP, Kenyon CC, Haq H, Simon TD, Mangione-Smith R. Associations between quality measures and outcomes for children hospitalized with bronchiolitis. Hosp Pediatr. 2020;10(11):932-940. doi: 10.1542/hpeds.2020-0175. PubMed

Kronman MP, Gerber JS, Grundmeier RW, Zhou C, Robinson JD, Heritage J, Stout J, Burges D, Hedrick B, Warren L, Shalowitz M, Shone LP, Steffes J, Wright M, Fiks AG, Mangione-Smith R. Reducing antibiotic prescribing in primary care for respiratory illness. Pediatrics. 2020 Aug 3:e20200038. doi: 10.1542/peds.2020-0038. [Epub ahead of print]. PubMed

Dublin S, Wartko P, Mangione-Smith R. Studying medication safety in pregnancy: a call for new approaches, resources, and collaborations. Pediatrics. 2020 Jul;146(1):e20201540. doi: 10.1542/peds.2020-1540. Epub 2020 Jun 8. PubMed

Foster CC, Simon TD, Qu P, Holmes P, Chang JK, Ramos JL, Koutlas A, Rivara FP, Melzer SM, Mangione-Smith R. Social determinants of health and emergency and hospital use by children with chronic disease. Hosp Pediatr. 2020;10(6):471-480. doi: 10.1542/hpeds.2019-0248. PubMed

 

Leadership

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Getting to know KPWHRI’s two new directors

Dr. Rita Mangione-Smith chats with Marilou Hemenway and Caroline Liou about the unique paths that led them to KPWHRI.

1-year anniversary

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Looking back: Our COVID-19 vaccine trial at 1 year

Dr. Rita Mangione-Smith reflects on the year since KPWHRI launched the world's first clinical trial for a COVID-19 vaccine.

research

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Medication in pregnancy: Better data for healthier kids

Researchers need much bigger data sets to find outcomes that matter, Dr. Sascha Dublin and colleagues write in Pediatrics.

KPWHRI In the Media

When does your child need antibiotics?

How do I know if my kid needs antibiotics?

New York Times, Apr 17, 2020